State Exam Practice #7 Flashcards
During therapy with salbutamol (venolin) mr peters complains of palpitation, chest pain, and a throbbing headache. In view of these symptoms which of the following statements represent the most appropriate nursing action
a) Reassure mr peters that these effects are temporary and will subside as he becomes accustomed to the drug
b) Withhold the drug until additional orders are obtained from the physician
c) Tell him not to worry, he is experiencing expected side effects of medicine
d) Ask him to relax, then instruct him to breath slowly for several minutes
b) Withhold the drug until additional orders are obtained from the physician
Mr peters pulmonary function studies are abnormal. The nurse should realise that one of the most common complication of chronic asthma is A) Athelectasis B) Emphysema C) Pneumothorax D) Pulmonary fibrosis
B) Emphysema
Emphysema causes a failure in oxygen supply because of
a) Infectious obstructions
b) Respiratory muscle paralysis
c) Pleural effusion
d) Loss of aerating surface
d) Loss of aerating surface
When the alveoli loose normal elasticity, the nurse teaches mr peters exercises that lead to effective use of the diaphragm because
a) Mr peters has an increase in the vital capacity of the lungs
b) The residual capacity of the lungs has been increased
c) Inspiration has been markedly prolonged and difficult
d) Abdominal breathing is an effective compensatory mechanism that is spontaneously initiated
b) The residual capacity of the lungs has been increased
To prevent laryngeal spasms and respiratory arrest in a patient who is at risk for hypocalcemia, an early sign of hypocalcemia the nurse should assess for is
a) tetany
b) confusion
c) constipation
d) numbness and tingling around the lips or in the fingers
d) numbness and tingling around the lips or in the fingers
A 36 year old woman has been admitted to the hospital for knee surgery. Information obtained by the nurse during the preoperative assessment that should be reported to the surgeon before surgery is performed includes the patients
a) lack of knowledge about postoperative pain control
b) knowledge of the possibility of an early, unplanned pregnancy
c) history of a postoperative infection following a prior cholecystectomy
d) concern that she will be physically limited in caring for her children for a period postoperatively
b) knowledge of the possibility of an early, unplanned pregnancy
In is especially important for the nurse to determine the patients current use of medications during the preoperative assessment because
a) these medications may alter the patients perceptions about surgery
b) anaesthetics alter renal and hepatic function, causing toxicity by other drugs
c) other medications may cause interactions with anaesthetics, altering the potency and effect of the drugs
d) routine medications are usually withheld the day of surgery, requiring dosage and schedule adjustments
c) other medications may cause interactions with anaesthetics, altering the potency and effect of the drugs
A client with type 1 diabetes mellitus is scheduled to have surgery. The client has been nil per mouth since midnight in preparation for the surgery. In the morning before sending the client to the operating room, the nurse notices that the clients daily insulin has not been ordered. Which of the following interventions would be most appropriate for the nurse at this time
a) obtain the clients blood glucose values and evaluate the clients need for insulin
b) contact the physician for further orders regarding insulin administration
c) give the clients usual morning dose of insulin
d) notify the recovery room staff to obtain an order for insulin after the surgery
a) obtain the clients blood glucose values and evaluate the clients need for insulin
A patient in severe respiratory distress is admitted to the medical unit at the hospital. During the admission assessment of the patient, the nurse should
a) perform a comprehensive health history with the patient to determine the extent of prior respiratory problems
b) complete a full physical examination to determine the effect of the respiratory distress on other body functions
c) delay any physical assessment of the patient and ask family members about the patients history of respiratory problems
d) perform a physical assessment of the respiratory system and ask specific questions related to this episode of respiratory distress
d) perform a physical assessment of the respiratory system and ask specific questions related to this episode of respiratory distress
A client is admitted to the emergency room with crushing chest injuries sustained in a car accident. Which of the following signs would indicate a possible pneumothorax
a) Cheyne stokes breathing
b) Increased noisy breath sounds
c) Diminished or absent breath sounds on the affected side
d) A decreased sensation on the affected side
c) Diminished or absent breath sounds on the affected side
Joan murray, aged 40 years, discovers a lump in the upper and outer quadrant of her left breast when she is showering one morning. One week later, after being seen by a surgeon, she is admitted to the ward for a biopsy of the lump and possible left radical mastectomy. In establishing a relationship with joan, what is the most important factor for the nurse to consider. That
a) The diagnosis has not yet been established and the breast lump is not necessarily malignant
b) Joan will have many questions about the possible effects of a mastectomy on her sexual identity
c) At this time of uncertainty, joan will need a lot of time to be alone to consider her choices
d) Joan will be full of fear about the mass and its possible effects on her being
d) Joan will be full of fear about the mass and its possible effects on her being
Part of joans pre operative preparation is practising arm and shoulder exercises. The reason for these exercises are
a) She can be assured of maximum function of her arm and shoulder if these exercises are carried out properly
b) That they help reduce the pain and the swelling in the area, after surgery
c) To assist peripheral venous return and thus reduce the potential for pulmonary embolus
d) By being involved in activities related to her care, joan is less likely to worry
a) She can be assured of maximum function of her arm and shoulder if these exercises are carried out properly
The reason we position joans affected arm with her elbow at the level of the right atrium and her hand higher than her elbow is to
a) Minimise the development of oedema
b) Assist venous return
c) Reduce her pain and discomfort
d) Ensure that the area is supported
a) Minimise the development of oedema
List the 3 main causes of stroke
a) Cerebral haemorrhage, thrombosis, embolism
b) Cerebral thrombosis, infarction, aneurysm
c) Cerebral embolism, metastatic lesions, coagulopathy
d) Cerebral ischemia, vascular spasms, hypoxia
b) Cerebral thrombosis, infarction, aneurysm
Angina symptoms include
a) Radiating pain, decreased BP and increased pulse
b) Shortness of breath, loss of consciousness and these effects may last indefinitely
c) Ringing in the ears, anxiety and cramping in the extremities
d) Shortness of breath, sweating, nausea and tiredness
d) Shortness of breath, sweating, nausea and tiredness
